国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (2): 209-211.

• 病例报告 • 上一篇    下一篇

孕晚期子宫右前壁血管自发性破裂一例

李旭,董渠龙,房倩羽,张岩   

  1. 300162 天津,中国人民武装警察部队特色医学中心妇产科(李旭,董渠龙,张岩);解放军总医院第三医学中心机关门诊部(房倩羽)
  • 收稿日期:2018-11-21 修回日期:2018-12-10 出版日期:2019-04-15 发布日期:2019-04-15
  • 通讯作者: 董渠龙,E-mail:349271976@qq.com E-mail:349271976@qq.com

Spontaneous Rupture of The Right Anterior Wall Vessel of Uterus in Late Pregnancy: A Case Report

LI Xu,DONG Qu-long,FANG Qian-yu,ZHANG Yan   

  1. Department of Obstetrics and Gynecology,the Characteristic Medicine Center of the Chinese People′s Armed Forces,Tianjin 300162,China(LI Xu,DONG Qu-long,ZHANG Yan);Outpatient Department of The Third Medical Center of The Chinese People′s Liberation Army General Hospital,Beijing 100089,China(FANG Qian-yu)
  • Received:2018-11-21 Revised:2018-12-10 Published:2019-04-15 Online:2019-04-15
  • Contact: DONG Qu-long,E-mail:349271976@qq.com E-mail:349271976@qq.com

摘要: 孕晚期子宫血管自发性破裂是由于各种原因导致子宫动、静脉出现的自然破裂,由于孕晚期子宫血供极其丰富,一旦发生子宫血管破裂容易造成孕妇腹腔出血、休克、胎死宫内等不良事件。孕晚期子宫血管自发性破裂发病率低,但凶险性极高,诊断不及时或者漏诊将严重危害母儿安全。为提高对孕晚期子宫血管自发性破裂的认识,现回顾分析1例孕晚期子宫右前壁血管自发性破裂患者的临床资料,并复习相关文献,进一步分析其发病机制、辅助检查及临床表现,以加深临床医生对该病的认识,提高诊断和治疗水平。

关键词: 妊娠末期, 子宫, 血管, 破裂, 自发性

Abstract: Various reasons can contribute to induce spontaneous rupture of uterine vessels in late pregnancy including arteries and veins. Due to the abundant blood supply of uterus in the late pregnancy, it is very easy to cause abdominal hemorrhage, shock and intrauterine fetal death in pregnant women once uterine vessel rupture occurs. The incidence of spontaneous rupture of uterine vessels in late pregnancy is low, but it is extremely dangerous, and if the diagnosis is not timely or missed, it will seriously endanger the safety of the mother and the children. Now, in order to improve the understanding of spontaneous rupture of uterine vessels in late pregnancy, the clinical data of a patient with spontaneous rupture of uterine right anterior wall in late pregnancy was retrospectively analyzed, and the related literature was reviewed to further analyze its pathogenesis, auxiliary examination and clinical manifestations, so as to deepen the understanding of the disease by clinicians and improve the level of diagnosis and treatment.

Key words: Pregnancy trimester, third, Uterus, Blood vessels, Rupture, spontaneous